When assessing a patient who has suffered a burn injury, the nurse classifies the burn as a deep partial-thickness burn based on the observation of:
a. painful reddened skin.
b. charred skin with milky-white areas.
c. erythema and blisters.
d. erythema, pain, and swelling.
C
With deep partial-thickness burns, blister formation may be seen with erythema.
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A mother worries about her infant feeling pain during a heel stick for a blood test. What action by the nurse is best?
A. Encourage breastfeeding during the heel stick. B. Ice the infant's heel prior to the blood draw. C. Massage the infant's heel after the needle stick. D. Reassure the mother that infants don't feel pain.
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter
The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work, the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice, "Why are you such a stupid kid?" The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse desires to build some trust and continue to gather assessment data. The remark or question that would interfere with the nurse's goals is: a. "Tell me what happens when the children misbehave.". b. "When your baby cries, how do you get him to stop?" c. "Caring for three young children must be difficult.". d. "Do you or your husband ever beat the children?"
The breaking down of nutrients by enzyme action is:
1. Anabolism 2. Chemical digestion 3. Mechanical digestion 4. Metabolism
The goal of nutrition screening for the client under hospice care is which of the following?
1. Recognize areas for improvement in diet. 2. Identify food-related concerns. 3. Gather data to correlate long-term nutritional habits with the onset of disease. 4. Distinguish food-handling practices that are suboptimal.